Individual
JOANNE BRESNAHANBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLADC
Contact information
Practice address
66 PROSPECT ST, MANCHESTER, NH 03104-3506
(603) 965-6477
Mailing address
272 APPLETREE RD, AUBURN, NH 03032-3147
(603) 965-6477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0033
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0589
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
623
MA
Other
Enumeration date
07/10/2007
Last updated
08/03/2011
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